Student Answer Sheet

Basic Life Support Exam

Name: _____________________________ Date: _________________ Version: _____

Question Answer
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BLS Classroom
Course Evaluation

Date ________________________ Instructor(s) _______________________________________________________________

Prime Medical Training / Coastal Carolina CPR
Training Center ______________________________________ Location ___________________________________________

Please answer the following questions about 3. I will respond in an emergency because of the skills
your Instructor. I learned in this course.
My Instructor: a. Yes
b. No
1. Provided instruction and help during my skills c. Not sure
practice session
a. Yes 4. I took this course to obtain professional education
b. No credit or continuing education credit.
a. Yes
2. Answered all of my questions before my skills test b. No
a. Yes
b. No Optional questions:
3. Was professional and courteous to the students Have you previously taken this course via another
a. Yes method, such as in a classroom or online?
b. No Which learning method do you prefer and why?
__________________________________________________
Please answer the following questions about the
course content. __________________________________________________
1. The course learning objectives were clear. __________________________________________________
a. Yes
b. No __________________________________________________
2. The overall level of difficulty of the course was
Were there any strengths or weaknesses of the course
a. Too hard
that you would like to comment on?
b. Too easy
c. Appropriate __________________________________________________
3. The content was presented clearly. __________________________________________________
a. Yes
b. No __________________________________________________
4. The quality of videos and written materials was __________________________________________________
a. Excellent
b. Good What would you like to see in future courses developed
c. Fair by the AHA?
d. Poor
__________________________________________________
5. The equipment was clean and in good working
condition. __________________________________________________
a. Yes
__________________________________________________
b. No
__________________________________________________
Please answer the following questions about your
skill mastery. After Completing This Evaluation

1. The course prepared me to successfully pass Please return this evaluation to your Instructor before
the skills session. you leave the class.
a. Yes Alternatively, you can send the evaluation to your
b. No Instructor’s Training Center. Ask your Instructor for
2. I am confident I can use the skills the course the contact information.
taught me.
a. Yes If you have significant problems or concerns with your
b. No course, please contact the AHA at 877-AHA-4CPR.
c. Not sure

KJ0920 BLS CLASS R2/16 © 2016 American Heart Association